DR. UMA PADHYE PHATAK (MD) – Pediatric Gastroenterology Physician, NPI 1619084365

DR. UMA PADHYE PHATAK (MD) is a healthcare provider. based in New haven, Connecticut. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 044227 (CT). The NPI Number for DR. UMA PADHYE PHATAK (MD) is 1619084365

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. UMA PADHYE PHATAK (MD)
NPI
1619084365
Phone
(203) 785-4649
Address
333 CEDAR STREET
Enumeration Date
25 August 2006
Last Update Date
26 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2036882433
Graduation Year
2001 (25 years ago)
PAC ID
3173529013
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20061016000565
Address ID
CT065103220NE20XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

414 PEDIATRIC MEDICINE in CT

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Provider Addresses for DR. UMA PADHYE PHATAK (MD)

  • 333, Cedar Street, Downtown, New Haven, New Haven County, Connecticut, 06519, United States

    FMP 408

    NEW HAVEN, CT 06520

    Phone: (203) 785-4649

    Fax: (203) 737-1384

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061016000565IPediatric MedicineCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06520)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
Internal Medicine, NephrologySC
-CT
-NC
Internal MedicineCT
-CT
Cardiac SurgeryCT
-CT
-CT

Reviews

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Frequently asked questions

Can I verify DR. UMA PADHYE PHATAK (MD) with an NPI only?
You can start verification with NPI 1619084365 for DR. UMA PADHYE PHATAK (MD), then check state licensing separately.
Is DR. UMA PADHYE PHATAK (MD) listed as active for patients and plans?
The listing shows DR. UMA PADHYE PHATAK (MD) as active in the NPI system.
What taxonomy line describes DR. UMA PADHYE PHATAK (MD)?
For research purposes, treat DR. UMA PADHYE PHATAK (MD) as Pediatric Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. UMA PADHYE PHATAK (MD) list a practice location?
Patients near New Haven, Connecticut may find DR. UMA PADHYE PHATAK (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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